Individual
THERESA M KEOHANE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
5153 N 9TH AVE, STE 300, PENSACOLA, FL 32504-8785
(850) 484-6060
(850) 484-6069
Mailing address
PO BOX 280, GULF BREEZE, FL 32562-0280
(850) 484-6060
(850) 484-6069
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN993822
FL
Other
Enumeration date
08/10/2005
Last updated
07/08/2007
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